0001209191-12-057120.txt : 20121212
0001209191-12-057120.hdr.sgml : 20121212
20121212155610
ACCESSION NUMBER: 0001209191-12-057120
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121212
FILED AS OF DATE: 20121212
DATE AS OF CHANGE: 20121212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Skogman Kyle D.
CENTRAL INDEX KEY: 0001450680
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34257
FILM NUMBER: 121259174
MAIL ADDRESS:
STREET 1: 411 FIRST AVENUE SE
CITY: CEDAR RAPIDS
STATE: IA
ZIP: 52401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: UNITED FIRE GROUP INC
CENTRAL INDEX KEY: 0000101199
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 452302834
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 118 SECOND AVE SE
CITY: CEDAR RAPIDS
STATE: IA
ZIP: 52407
BUSINESS PHONE: 3193995700
MAIL ADDRESS:
STREET 1: P O BOX 73909
CITY: CEDAR RAPIDS
STATE: IA
ZIP: 52407
FORMER COMPANY:
FORMER CONFORMED NAME: UNITED FIRE GROUP, INC.
DATE OF NAME CHANGE: 20120202
FORMER COMPANY:
FORMER CONFORMED NAME: UNITED FIRE & CASUALTY CO
DATE OF NAME CHANGE: 19920703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-12-12
0
0000101199
UNITED FIRE GROUP INC
UFCS
0001450680
Skogman Kyle D.
118 SECOND AVENUE SE
P.O. BOX 73909
CEDAR RAPIDS
IA
52407-3909
1
0
0
0
Common Stock
2012-12-12
4
P
0
1000
20.9045
A
5520
I
See footnote #1
Common Stock
2012-12-12
4
P
0
1000
20.9045
A
13212
D
The total number of securities beneficially held indirectly by the reporting person following the reported transaction includes: 670 shares held in a simplified employee pension (SEP) account for Mr. Skogman's benefit; 200 shares held in an individual retirement account for Mr. Skogman's benefit; 2,000 shares held in a trust account for the benefit of Mr. Skogman's wife; 2,500 shares held in a trust account for the benefit of Mr. Skogman's wife; and 150 shares held in an individual retirement account for the benefit of Mr. Skogman's wife.
The total number of securities beneficially held directly by the reporting person following the reported transaction includes: 11,900 shares held in a trust account for which Mr. Skogman serves as trustee; 730 shares held jointly in a brokerage account by Mr. Skogman and his wife; and 582 shares of restricted stock which vest, subject to certain conditions, on May 16, 2013.
/s/ Kyle D. Skogman by Dianne M. Lyons, Attorney-in-Fact
2012-12-12